2020-06-05

Attachment VT LG HIC Q3 & Q4 2016 Rate Filing(Exclude 51-100) SERFF.xlsx is not a PDF document and cannot be reproduced here. SERFF Tracking #: MVPH-130454426 State Tracking #: Company Tracking #: State: VermontGMCB Filing Company: MVP Health Insurance Company TOI/Sub-TOI: H16G Group Health - Major Medical/H16G.002A Large Group Only - PPO

(CST) Monday - Friday SERFF The department utilizes the National Association of Insurance Commissioners (NAIC) System for Electronic Rate and Form Filing (SERFF) in the review of insurance filings. SERFF offers access to the public to view non-confidential filings. Montpelier, Vermont 05620 Re: Solvency Impact of “2021 Vermont Individual and Small Group Rate Filing (SERFF # BCVT-132371410)” of Blue Cross Blue Shield of Vermont Dear Chair Mullin: The Department of Financial Regulation (“DFR”) respectfully submits the following www.serff.com NAIC Central Office 1100 Walnut St. Suite 1500 Kansas City, MO 64108 Phone: (816) 842-3600 Fax: (816) 783-8175 8 a.m. to 5 p.m. (CST) Monday - Friday Rate Increase Exhibit 2019-2020_SERFF.xlsx Wakely - VT Standard Plan Designs - AV Certification_2019-05-09.pdf VT 2020 Exchange Rate Filing_SERFF.pdf VT 2020 Exchange Rate Filing_SERFF.xlsx SERFF Tracking #: MVPH-131934219 State Tracking #: Company Tracking #: State: VermontGMCB Filing Company: MVP Health Plan, Inc. SERFF Filing Access (SFA) is now in production for an increasing number of states. This new interface provides consumers and other interested parties the ability to access Rate and Form Filings via the Internet that the participating state has marked available.

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We are pleased to provide you an alternative method for viewing Rate and Form Filings electronically.You can contact our West Virginia Office of the Insurance Commissioner's (WVOIC) Rates and Forms Office at (304) 558-2094. Please enter a user name. User Name: Please enter a password. Password: Forgot Your Password?

For additional information about SERFF, including state participation details and how to sign up, visit www.serff.com. Application Availability. The SERFF system is available from 7:00am to 7:00pm CST Monday through Friday, except in the event of … SERFF Tracking #: NCCI-132378588 State Tracking #: Company Tracking #: E-1407 State: District of Columbia Filing Company: National Council on Compensation Insurance, Inc. TOI/Sub-TOI: 16.0 Workers Compensation/16.0004 Standard WC Product Name: E-1407 Exclusion of COVID-19 Claims from Experience Rating and Merit Rating Project Name/Number: / Name: Paul L Serff, Phone number: (512) 292-9238, State: TX, City: Austin, Zip Code: 78747 and more information 2020-03-30 VT WA WI WV WY All fields with an asterisk (*) are required.

(SERFF # UHLC-132410982) DATE: August 12, 2020 2021 premium rate changes have been requested for several AARP Medicare Supplement Insurance Plans. These would affect approximately 15,800 Standardized plan members, and approximately 130 Pre-Standardized plan members in the State of Vermont.

Instructions - Forms - SERFF LD Form Filing General Instructions (Word, 73.84 KB) 2021 NAIC Life, Accident & Health, Annuity and Credit Product Coding Matrix (PDF, 474.94 KB) SERFF Tr Num: NCCI-132099789 SERFF Status: Assigned State Tr Num: S672692 State Status: AS-Assigned To Technician Co Tr Num: B-1439 Effective Date Requested (New): 07/01/2021 Effective Date Requested (Renewal): 07/01/2021 Author(s): Lesley O'Brien, Frank Gnolfo, Kevin Ott, Whitney Quailey Reviewer(s): Nicole Elliott (primary), David Trautman 2020-01-07 2011-09-01 VT - 25% SRM.pdf SERFF Tracking #: GRTC-132535075 State Tracking #: Company Tracking #: EPL RATE FILING 07-20 State: District of Columbia Filing Company: Great American Insurance Company TOI/Sub-TOI: 17.2 Other Liability-Claims Made Only/17.2010 Employment Practices Liability Product Name: EMPLOYMENT PRACTICES LIABILITY Please also refer to the SERFF Supporting Documentation Tab for additional requirements. 148 Vt. 110 (1987).

SERFF Tracking #: NCCI-132378588 State Tracking #: Company Tracking #: E-1407 State: District of Columbia Filing Company: National Council on Compensation Insurance, Inc. TOI/Sub-TOI: 16.0 Workers Compensation/16.0004 Standard WC Product Name: E-1407 Exclusion of COVID-19 Claims from Experience Rating and Merit Rating Project Name/Number: /

The SERFF system is available from 7:00am to 7:00pm CST Monday through Friday, except in the event of unexpected outages or emergency maintenance. 2011-09-01 · PDF Pipeline for SERFF Tracking Number VERM-127134007 Generated 09/26/2011 09:28 AM Montpelier, VT 05602 802-229-7646 [FAX] Filing Company Information SERFF Tr Num: NCCI-132508460 SERFF Status: Closed-APPROVED State Tr Num: OK,RI,SC,SD,TN,UT,VT 10/01/2007:WV 06/01/2014:TX 01/01/2014:OR G–F SERFF # Documents Company Name Filing Type Date Filed Status TOI Sub-TOI; AMGD-132788692: Filing: AmGUARD Insurance Company: Form: 04/12/2021: Submitted: 17.0 Other Liability-Occ/Claims Made: 17.0020 Commercial Umbrella and Excess: UHLC-132799909: Filing: UnitedHealthcare Insurance Company: Form: 04/12/2021: Submitted: MS08G Group Medicare 2020-01-07 · SERFF Tracking #: INCR-132212807 State Tracking #: EFT OK / Company Tracking #: B-1440 State: Indiana Filing Company: Indiana Compensation Rating Bureau TOI/Sub-TOI: 16.0 Workers Compensation/16.0002 Employers Liability WC Product Name: B-1440 Project Name/Number: Revisions to the Basic Manual including Reformatting the Preface & Appendix G/B-1440 SERFF Tr Num: NCCI-132099789 SERFF Status: Assigned State Tr Num: S672692 State Status: AS-Assigned To Technician Co Tr Num: B-1439 Effective Date Requested (New): 07/01/2021 Effective Date Requested (Renewal): 07/01/2021 Author(s): Lesley O'Brien, Frank Gnolfo, Kevin Ott, Whitney Quailey Reviewer(s): Nicole Elliott (primary), David Trautman Department, but has submitted those materials on SERFF, the association or MEWA may refer to the applicable SERFF filing number(s) of the proposed advertising or marketing materials under review.

1. Below are the instructions for submission of your Vermont Mutual Insurance Group.
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Please wait User Name: Password: Attachment VT LG HMO 2021 Rate Filing SERFF.xlsx is not a PDF document and cannot be reproduced here. SERFF Tracking #: MVPH-132497714 State Tracking #: Company Tracking #: State: VermontGMCB Filing Company: MVP Health Plan, Inc. TOI/Sub-TOI: HOrg02G Group Health Organizations - Health Maintenance (HMO)/HOrg02G.003B Large Group Only - POS VT SG HIC GF Q1 & Q2 2018 Rate Filing SERFF.xlsx VT SG HIC GF Q1 & Q2 2018 Rate Filing SERFF.pdf Utilization Data VT 1Q 2Q 2018 SERFF.xlsx Utilization Data VT 1Q 2Q 2018 SERFF.pdf Rolling 12 Medical and Rx Data - SG HDHP.xlsx Rolling 12 Medical and Rx Data - SG HDHP.pdf Impact of Membership Growth_Decline on Experience Pd Claims.xlsx Attachment VT LG HIC Q3 & Q4 2016 Rate Filing(Exclude 51-100) SERFF.xlsx is not a PDF document and cannot be reproduced here. SERFF Tracking #: MVPH-130454426 State Tracking #: Company Tracking #: State: VermontGMCB Filing Company: MVP Health Insurance Company TOI/Sub-TOI: H16G Group Health - Major Medical/H16G.002A Large Group Only - PPO SERFF property and casualty form filing instructions (PDF , 27KB) SERFF property and casualty rate rule general instructions (PDF, 41KB) SERFF motor vehicle service contracts general filing instructions (PDF , 24KB) Personal insurance scoring model general filing instructions (PDF, 36KB) For title insurance SERFF Website. For additional information about SERFF, including state participation details and how to sign up, visit www.serff.com. Application Availability.

Bulletin . Thursday, November 13, 2008. Health Bulletin #128 .
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Welcome to SERFF Filing Access! We are pleased to provide you an alternative method for viewing Rate and Form Filings electronically.You can contact our West Virginia Office of the Insurance Commissioner's (WVOIC) Rates and Forms Office at (304) 558-2094.

Department Contact List for customer service, program telephone and fax numbers, and staff email SERFF Tracking #: NCCI-132378588 State Tracking #: Company Tracking #: E-1407 State: District of Columbia Filing Company: National Council on Compensation Insurance, Inc. TOI/Sub-TOI: 16.0 Workers Compensation/16.0004 Standard WC Product Name: E-1407 Exclusion of COVID-19 Claims from Experience Rating and Merit Rating Project Name/Number: / SERFF Tracking #: BNIC-131413070 State Tracking #: Company Tracking #: FIN- DO-2018-5305-FM-DC- 27303 filed on May 5th, 2020 2020-04-24 · SERFF Tracking #: INCR-132352506 State Tracking #: EFT OK / Company Tracking #: B-1441 State: Indiana Filing Company: Indiana Compensation Rating Bureau TOI/Sub-TOI: 16.0 Workers Compensation/16.0002 Employers Liability WC Product Name: B-1441 Project Name/Number: Revisions to NCCI Manual Rules Related to the Covid-19 (Coronavirus) Pandemic/B-1441 SERFF Tr Num: XLAM-131857512 SERFF Status: Closed-FILED FOR INFORMATION Project Name: XCU 455 VT UM/UIM Revised Endorsement Status of Filing in Domicile: Read Section 21-020-016-5 - General Filing Rules, 21-020-016 Vt. Code R. § 5, see flags on bad law, and search Casetext’s comprehensive legal database 2020-05-11 · Forms and Binders due May 11, 2020. Rates due June 29, 2020. If you have any questions, please contact the Rate & Forms Division at (304) 558-2094. Name: Paul L Serff, Phone number: (512) 292-9238, State: TX, City: Austin, Zip Code: 78747 and more information Retrieving your filings.